Green India Survey Form

1. Name :

2. Age :

3. Class/School :

4. Gender :

5. Contact Number :

6. E-mail ID :

7. Do you use plastic carry bags? Tick (Yes/No)

8. Are you a member of Green Club? Tick (Yes/No)

9. Do you organise NGC (National Green Corps)
programme in your school? Tick (Yes/No)

10. Do you observe the Earth Day in your school? Tick (Yes/No)

11. Your local forest is very important to you, because it
provides you with ….

i. fodder (grass, green leaves, etc.) for your animals
ii._____________
iii.____________
iv _____________
v.______________
vi.______________

12. What do you do to protect your local forest?

i. Take turns to guard the forest with my classmates
ii.______________
iii.______________
iv.______________
v.______________

13. When do you do this survey?


_________________

14. How do you develop greenery in your surroundings?

_____________
_____________